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Minnesota rates for HCPCS 64902

Nerve Graft Each Nerve Multiple Strands

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.55 / $644.55 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.91 / $664.93 / $1,069.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $544.24 / $5,764.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.28 / $1,833.85 / $2,386.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,581.80 / $2,244.34 / $5,399.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.52 / $1,888.50 / $2,804.71
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,051.87 / $4,251.24
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.33 / $1,688.45 / $2,572.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.55 / $1,089.31 / $1,804.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.42 / $1,292.46 / $2,797.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.00 / $1,727.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.17 / $1,242.61 / $2,703.76